Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,511.32 / $5,229.63	Facility		$100.00	$2,511.32	$5,229.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $685.80 / $756.94 / $892.95	Professional		$685.80	$756.94	$892.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.10 / $5,299.00 / $8,600.00	Facility		$4,769.10	$5,299.00	$8,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $688.98 / $1,235.90 / $1,977.21	Professional		$688.98	$1,235.90	$1,977.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,906.58 / $3,906.58 / $4,043.31	Facility		$3,906.58	$3,906.58	$4,043.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $715.89 / $1,254.93 / $1,953.26	Professional		$715.89	$1,254.93	$1,953.26
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $788.74 / $1,364.36 / $2,434.44	Professional		$788.74	$1,364.36	$2,434.44
United Facility/Professional Facility Modifier Low / Median / High Price $972.00 / $4,574.00 / $11,155.00	Facility		$972.00	$4,574.00	$11,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $822.10 / $1,253.95 / $2,622.72	Professional		$822.10	$1,253.95	$2,622.72
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $569.55 / $683.47 / $1,078.75	Professional		$569.55	$683.47	$1,078.75